Radionuclide scanning

Most coronary care units do not have the facility for rapid scanning of left ventricular wall motion (from gated blood pool scans) or for thallium scanning to detect areas of non-uptake. These 'cold' areas only signify necrosis, and do not indicate whether this infarct is old or new. Pyrophosphate scans can detect recent infarction (as a 'hot' area), but they take too long to be useful clinically and so are used mainly for research purposes. In any case, none of these methods are sufficiently rapid or convenient for routine clinical use.

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